Multiple Myeloma and Occupational Risk Factors: A Narrative Review

  • Alireza Hejrati Department of Internal Medicine, School of Medicine, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Teh-ran, Iran
  • Sadaf Parvin School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  • Mehrnia Omidali School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  • Lina Hejrati School of Medicine, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Tehran, Iran
  • Bahareh Shateri Amiri Department of Internal Medicine, School of Medicine, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Teh-ran, Iran
Keywords: Multiple myeloma; Plasma cells; Risk factors; Occupational exposure; Pesticides

Abstract

Multiple Myeloma (MM) is a neoplastic hematologic disorder caused by the excessive proliferation of plasma cells and leads to bone lesions, anemia, and kidney failure. No definite etiology has been proposed for MM, but several environmental and genetic risk factors have been implicated so far. Exposure to pesticides, benzene, and organic solvents like methyl chloride have been considered a potential risk factor. Asbestos, ionizing radiation, and wood dust exposure have also been associated with MM. As MM is a relatively rare condition, the number of studies is insufficient, and in many studies, only a few study participants recall exposure to any agents. Therefore, establishing a definite risk factor is cumbersome and further studies with large study samples are needed. By recognizing these occupational risk factors, clinicians can encourage employees to reduce their exposure as more as possible and implement precautionary measures. In this review, we highlighted the current research on the potential association between occupational exposures and MM. Because of these studies, new regulations with the goal of occupational exposure reduction are anticipated in the future.

Published
2024-03-13
Section
Articles